SCINTILLA CHARTER ACADEMY
Speech Language Pathology at Park Ave, Valdosta, GA

License number
Georgia 9005
Category
Restorative Service Providers
Type
Physical Therapist
License number
Georgia 6136
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Georgia 1930
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: STEPHANIE HERNDON
Title: OFFICE MANAGER
Phone: (229) 244-5750
Address
Address
2171 E Park Ave, Valdosta, GA 31602
National Provider ID: 1740658558
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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